Organization Active NPI

TDC Lantana LLC

  • Dental Clinic/Center
  • Lake Worth, FL
National Provider Identifier
1346764123
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TDC LANTANA LLC
Practice address
6346 Lantana Rd Suite 68
Lake Worth, FL 33463
Phone
(561) 439-5100
Fax
(561) 439-5100
NPI assigned
Aug 2, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jordan Tomalty, DMD
Title
Owner/Dentist
Phone
(561) 777-8980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6346 Lantana Rd Suite 68
Lake Worth, FL 33463

Mailing address

6346 Lantana Rd Ste 68
Lake Worth, FL 33463-6664
Phone (561) 439-5100

National Provider Directory

National Provider Directory

Locations

6346 Lantana Rd
Ste 68
Lake Worth, FL 33463
Phone (561) 439-5100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346764123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6346 LANTANA RD STE 68",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636664",
            "telephone_number": "561-439-5100",
            "fax_number": "561-439-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6346 LANTANA RD SUITE 68",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33463",
            "telephone_number": "561-439-5100",
            "fax_number": "561-439-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDC LANTANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TOMALTY",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "561-777-8980",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.